Topical diclofenac produces measurable systemic effects in the body
Topical diclofenac is absorbed through the skin or mucous membranes, leading to detectable, measurable systemic concentrations and corresponding pharmacokinetic profiles.
The retrieved literature consistently confirms that while topical diclofenac is designed to reduce systemic exposure compared to oral formulations and primarily target local tissue, transdermal or topical absorption still occurs, leading to measurable systemic concentrations and sometimes systemic effects.
Roy D. Altman, Bill Bosch, Kay Brune, Paola Patrignani, Clarence L. Young. Advances in NSAID Development: Evolution of Diclofenac Products Using Pharmaceutical Technology. 2015. https://doi.org/10.1007/s40265-015-0392-z
This review notes that topical formulations of diclofenac are specifically designed to minimize, rather than entirely eliminate, systemic absorption.
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Robert L. Barkin. Topical Nonsteroidal Anti-Inflammatory Drugs. 2012. https://doi.org/10.1097/mjt.0b013e3182459abd
This study discusses approved topical diclofenac preparations and highlights that while systemic concentrations are minimized compared to oral forms, transdermal absorption still occurs.
Pejman Dehghanyar, Bernhard X. Mayer, Khodadad Namiranian, Hermann Mascher, Markus Müller, Martin Brunner. Topical skin penetration of diclofenac after single- and multiple-dose application. 2004. https://doi.org/10.5414/cpp42353
Using in vivo microdialysis, this study detected measurable plasma and tissue concentrations of diclofenac following topical application.
Kimberly K. Hsu, Chantale L. Pinard, Ron J. Johnson, Dana G. Allen, Butch K. KuKanich, Stephanie G. Nykamp. Systemic absorption and adverse ocular and systemic effects after topical ophthalmic administration of 0.1% diclofenac to healthy cats. 2015. https://doi.org/10.2460/ajvr.76.3.253
This study in cats demonstrates that topical administration (ophthalmic) results in detectable systemic concentrations of diclofenac and measurable systemic physiological effects.
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